Individual
MRS. CRYSTAL RENEE WIDDOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 869-2300
Mailing address
1010 E 10TH ST, TUCSON, AZ 85719-5813
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
LP040229
AZ
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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